OUTLINE OF THE ORGANON of Samuel Hahnemann

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HOMEOPATHY

 

OUTLINE OF THE ORGANON

of Samuel Hahnemann

 

This outline was prepared by Julian Winston for the students of the

Wellington College of Homeopathy. It was printed in the USA in

Homeopathy Today.

 

It was taken from the 5th edition, translated by Dudgeon (1893), with

additions (where needed) by Boericke (1922) from the 6th edition, and

cross referenced with the Kunzli translation of the 6th.

 

When substantial changes were made between the 5th edition of 1833

and the 6th edition of 1842, the 5th will be in italic type and the

6th will be in plain type.

 

An asterisk ( *) indicates a footnote well worth reading.

 

 

Paragraph 1-9: Basic postulates about disease and what Healing is

about.

1. The physician's only mission is to cure the sick; it is not to

speculate on the nature of disease.*

2. The ideal cure is rapid, gentle, permanent and removes the whole

disease in the shortest, least harmful way, according to easily

comprehensible principles.

3. If the physician understands what is curable in disease, and

understands what is curative in medicines, and understands how to

apply the medicines (according to well defined principles) to the

disease, and knows how to remove conditions which prevent the patient

from getting well, he is a true physician.

4. The need to recognise and remove the maintaining causes

5. Pay attention to the exciting cause AND the fundamental cause

(which is usually a chronic disease) including the patient's

character, activities, way of life, habits, etc.

6. There is no need for metaphysical speculation. Diseases are the

totality of the perceptible symptoms *

7. To cure, you only need to treat the totality [NOT symptomatic

palliation; a single symptom is not the disease] *

8. If the symptoms are removed, the disease is eradicated

9. The physician want to make people healthy so they can use their

body to get on with the higher purposes of their existence.

 

10-18: The concept of vital force and its relation to disease

 

10. Without the vital spirit (force), the organism is dead

11. In diseases, it is the vital force that is deranged. *

12. The vital force produces the disease THEREFORE if the vital force

is cured, the disease is cured. [how it does so is of no concern to

the physician]

13. Diseases are not peculiar or distinct entities. It is absurd to

think so. Only materialistic minds think so. It is this thinking that

has pushed conventional medicine along, making it mischievous (an art

of darkness), incapable of healing.

14. Everything morbid is curable

15. The diseased vital force and the symptoms of the disease are the

same

16. Since diseases are, therefore, spirit-like, you need spirit-like

medicines to be effective against them.

17. The physician only needs to eliminate the totality of symptoms,

which will remove the inner alteration

18. The TOTALITY is the only guide to the remedy

 

19-21: The need for provings (determine the nature of medicine)

 

19. Medicines cannot cure unless they can cause derangement

20. The power of medicines can be discovered only by their effects--

not by reason.

21. Symptoms of provings are the only way of learning their power.

Pure experiment will reveal nothing. Remedies cure only because of

their ability to alter human health by causing characteristic

symptoms.

 

22-27: The principle of similars

 

22. The curative powers of medicines exist only because they can

produce symptoms in the healthy and remove them from the sick.

Medicines can be similar or opposite to the disease. Which to use is

revealed by experience. [description of allopathic medicine]

23. But experience shows that anti-pathic drugs don't cure; the

symptoms return with renewed intensity

24. Therefore homoeopathy is the system of choice.

25. This can be learned by pure experiment [not the kind of

experiment which is conducted by the regular physician, which is like

looking into a kaleidoscope] *

26. A weaker dynamic affliction is extinguished by a stronger IF it

is similar in nature.

27. Curative powers depend upon the symptoms they produce being

similar to the symptoms of the disease, but stronger.

 

28- 29: HOW IT WORKS (attempt) rewritten in the 6th.

 

28. Scientific explanations of how it works are of little importance,

there is no value in attempting one. Nevertheless...

29. The artificial disease of the remedy overpowers the weaker

natural disease. When the force of the artificial disease is spent,

the body returns to normal health. This is a most probable

explanation.

 

30-69: Lays out the philosophy of the system

 

30. The human body is more disposed to let it's state of health be

altered by drugs than by nature.

31. Disease agents do not affect everyone. We fall ill only when

susceptible. [sUSCEPTIBILITY]

32. Medicinal agents can affect all people.

33. The body is, therefore, more susceptible to medicinal forces.

34. The artificial disease does not only have to be stronger, but it

has to be most similar. [the vital principle is instinctive,

unreasoning, and without memory]. Nature cannot cure an old disease

by adding a new dissimilar one.

35. Consider when two dissimilar diseases meet in the same person

[examples are given in paragraphs 36-40]

36. Old diseases keep away new dissimilar diseases.

37. Chronic diseases are not affected by non-homoeopathic treatment.

38. New, stronger diseases can suppress old disease but will never

remove it

39. Allopathic treatment surpresses the disease, then the chronic

disease returns when the medication is withdrawn.

40. New diseases can join older diseases and become complex. Neither

removes the other

41. Heavy drugging with allopathic medicines leads to an artificial

drug disease and makes it into a chronic problem

42. Two dissimilar diseases can exist in the body at the same time

43. But when two similar diseases meet we can observe how cure takes

place.

44. Two similar diseases cannot suspend, ward off, or exist at the

same time.

45. Two similar diseases will destroy each other in the organism.

46. Examples of the above.

47. It should be convincingly clear that this is how to cure

according to natural law.

48. Dissimilar diseases don't cure.

49. Nature is poor in remedial homoeopathic diseases, so we do not

notice them often.

50. And those that can cure, bring other problems, often because the

dose cannot be controlled.

51. But the physician has many medicines available

 

52-56 have been totally re-written in the 6th edition

 

52. By looking at nature, the physician will learn to treat only by

homoeopathy.

52. there are two methods: allopathic and homoeopathic. Each opposes

the other. To practice both at the whim of the patient, is criminal

 

53. Mild cures can happen ONLY through homoeopathy. It should be the

first mode of employing medicines

53. True, gentle cures, can only be homoeopathic

 

54. The homoeopathic way is the only one.

54. allopathic practice is based on conjecture

 

55. the 2nd mode is allopathic

55. the only reason people stuck by allopathy is that it afforded

palliative relief

 

56. the 3rd mode is anti-pathic or palliative

56. Patients were deceived by quick improvement, but this method is

fundamentally harmful.

 

57. Examples of treating a single symptom with a contrary remedy

58. Why anti-pathic is bad. Directed against a single symptom: a

short amelioration followed by a long aggravation

59. Examples of injurious effect of anti-pathic medicine

60. Increasing doses of a palliative medicine never cures

61. Physicians (if they had been capable of reflecting upon the sad

results) should see the result of applying contrary medicines and

understand that the homoeopathic way is better and the only way to

cure

62. The reason palliation is dangerous is explained in paragraphs 63-

69.

63. The primary action of the medicine and the secondary reaction of

the vital force or counter reaction).

64 Explanation of primary and secondary reactions.

65. Examples of primary and secondary effects as stated in paragraph

64.

66 In a healthy body, one does not notice the secondary reaction to

homoeopathic doses, but the primary action of some of these remedies

is perceptible to a good observer.

67. These TRUTHS explain why homoeopathy is good. [long footnote

condemning those of the " mongrel sect " who claim to be homoeopaths

but use palliation to avoid looking for the correct remedy] *

68. In homoeopathy, experience shows that a small dose of medicine

will extinguish the natural disease.

69. Exactly the opposite happens in anti-pathic treatment. The

disease becomes worse when the palliation wears off.

 

70: Summary of all that has been said so far

 

71. All diseases are groups of symptoms that can be cured by similar

remedies. There are three points for curing: investigate the disease,

investigate the remedies, learn how to employ them. (see Para. 3)

 

72-81: Acute and Chronic diseases

 

72. Diseases--definition of acute and chronic

73. Discussion of acute disease

74. The worst Chronic diseases are produced by unskilled physicians

using allopathic medicines

75. These diseases are the most incurable.

76. Homoeopathy can cure natural diseases. The debilitations of

allopathic care can only be removed over time by the vital force

itself (with treatment of any miasm that is in the background).

77. Some diseases are called " chronic " but are not-- addictions and

indispositions. Remove the cause and remove the disease

78. Real chronic diseases arise from the chronic miasms

79. Syphilis and sycosis

80-81. psora (read Chronic Diseases, published in 1828)

 

82-104: CASETAKING (how to elicit the information)

 

82. In trying to cure these diseases, the case is to be conducted

carefully

83. Requisites for understanding the picture of the disease: Freedom

from prejudice and sound sense. The individualising examination of a

case of disease (general directions)

84. Patient talks. Physician keeps quiet. Do not interrupt. Write it

all down.

85. Start a new line for every symptom

86. When patient finishes, ask for particulars

87. Don't ask " yes " or " no " questions

88. Ask about other parts of he body not mentioned

89. The physician should then ask more special detailed questions

90. The physician notes what he observes in the patient

91. In chronic cases, understand what the symptoms are before the

medicines were taken. Ask to discontinue to see the real disease.

92. In diseases of rapid course (acute) forget the other medicines.

Do what you can to sort it out

93. See what the friends say about the patient

94. In cases of Chronic Disease, ask about habits, diet, and domestic

situation to be able to remove the maintaining causes

95. In cases of Chronic Disease, the most minute peculiarities are

attended to

96. Some patients might exaggerate their symptoms

97. Others have false modesty and allege that their symptoms are of

no consequence

98. Attach credence to the patient's own expressions

99. Acute diseases are of short duration and easy to treat. There is

less to inquire into and are often spontaneously detailed

 

100-102: epidemic diseases

 

100. Investigating epidemic diseases.

101. It takes time to see the totality of the epidemic disease

102. You see the characteristics of the disease through several

patients

 

103- 104 : chronic diseases

 

103. Chronic disease must be carefully investigated. You must see the

totality of the patient.

104. Once the totality is sketched, the most difficult part is done.

The physician has a picture of the disease. To see the effect of the

medicine, just ask how the patient is, and cross out the symptoms

that have been cured

 

105- 120: The effects of the remedies

 

105. The second point is to know the remedies

106. The pathological effects of several medicines must be known, so

we can select among them

107. You can't learn much about the effects of medicines by giving

them to sick people, because the symptoms of the medicine will be

mixed up with the symptoms of the natural disease

108. You must do provings to find out the medicinal effects

109. I was the first to suggest this method

110. All those who have seen the effect of poisons could have never

understood that the morbid lesions were simply the clues to the

curative powers of the drugs. It can't be learned by a priori

speculation, nor by the senses.

111. I have observed pure effects of the medicines-- without any

reference to therapeutic object-- and they produce certain, reliable

disease symptoms, each according to its own peculiar character.

112. Dangerous effects are seen at the termination of symptoms when

given in large doses. This recalls the primary actions (Para. 63) and

secondary action (Para. 62-7). The human organism reacts as much as

is needed to raise the health to a normal healthy state.

113. The only exception is narcotic medicines, where the secondary

action produces greater irritation and sensitivity.

114. With the exception of the narcotics, we observe the primary

action when given in moderate doses to healthy people

115. Certain symptoms which are opposite are not secondary but,

rather, alternating actions

116. Some symptoms are produced frequently, and others rarely or in

few persons

117. The rarely produced symptoms are idiosyncrasies-- the substances

produce seemingly no impression in others. But when used

homoeopathically they can heal ALL individuals

118. Every medicine has a unique action

119. Each substance cannot be confused with another

120. Therefore, all medicines must be carefully distinguished from

each other, so the physician can choose the correct remedy.

 

121-142: Conducting provings

 

121. Strong substances produce effects in small doses, weak

substances produce effects in larger doses, and the mildest must be

tested on very sensitive people

122. The medicines used in provings must be pure and well known

123. They must be taken in a pure form

124. They should not be mixed with other substances

125. The diet of the provers should be strictly regulated and simple.

No stimulating drinks. [footnote giving specific restrictions]

126. The prover must be trustworthy and devote himself to

observation. He must be in good health and intelligent enough to be

able to describe sensations accurately

127. The provings should be done by both sexes

128. Provers should take 4-6 globules of the 30th daily for several

days

129. If effects are slight, then take a few more globules. Start with

a small dose and increase daily

130. If the first dose produces symptoms, then the experimenter can

learn the order of succession of the symptoms-- which is useful to

learn the primary and alternating actions. The duration of action can

be found only after a comparison of several experiments

131. If you have to give the medicine for several days, you can't

learn about the order of symptoms. One dose might act curatively of

symptoms caused by the previous dose. Record these symptoms in

brackets until further experiments show if they are secondary action

or alternating action.

132. But if you are just interested in symptoms and not in the order,

give it every day.

133. You must learn the exact character of the symptoms--the

modalities are most important

134. Not all symptoms will be seen in one person

135. The whole picture of the remedy can be understood through a

study of all the provings. The substance is thoroughly proved when no

new symptoms are seen

136. Although only certain people are susceptible to remedies when

healthy, ALL people are susceptible to the simillimum when sick

137. With mild doses in sensitive people, the primary effects can be

observed. But excessively large doses will lead to a mixture of

primary and secondary effects in " hurried confusion. "

138. All symptoms during a proving are symptoms of the medicine even

though the prover may have experienced them before

139. The prover must note all details and the physician should

question the exact circumstances

140. If the person can't write, he should talk to the physician every

day

141. The best provings are done by the physician upon himself.

Experience shows that continued provings lead to robust health.

142. In practice, judgement is always needed to separate the symptoms

of the remedy from the symptoms of the malady

 

143- 145: The formation of the materia medica

 

143. If we collect all the symptoms produced, we have a true materia

medica

144. Nothing conjectural, imaginary, or mere assertion should be

included in the book

145. If the symptoms are accurately stated, we now have a curative

substance for every disease

 

146-171: The application of the medicine to the disease

 

146. The third point concerns the use of the medicines. The physician

must be judicious in his use of these agents

147. The most similar must be used

 

[the following two paragraphs were re-written in the 6th edition;

although the explanation changes, the content is the same]

148. An explanation of how homoeopathy probably works.

149. Acute diseases can respond quickly, but chronic diseases take

longer to treat.

 

150. trivial symptoms of short duration are indispositions and can be

cured by diet and regimen

151. More violent sufferings will provide, upon investigation, a

complete picture of the disease

152. The numerous striking symptoms will lead to a homoeopathic remedy

153. The striking, singular, uncommon, and peculiar signs and

symptoms are the most important. The general symptoms are observed in

every disease and from almost every drug

154. If the striking symptoms of the medicine match those of the

disease, and the disease is not one of long standing, it will be

removed by the first dose, without " considerable disturbance. "

155. The other symptoms of the disease ( " which are very numerous " )

are not part of the case and are not " called into play. "

156. If the patients are very sensitive they MIGHT produce

a " trifling " new symptom. (it is impossible that the disease and the

remedy cover each other like identical triangles) but this symptom is

not perceptible in patients not " excessively delicate. "

157. But in certain cases [6th ed. when the dose is not sufficiently

small .], there might be an aggravation for the first hour or so.

This is nothing but the medicinal disease exceeding the strength of

the original disease.

158. This " aggravation " is a sign that the remedy was correctly

chosen.

159. The smaller the dose [6th ed. in the treatment of acute

diseases ] the less the aggravation

160. The dose can't ever be made small enough to not relieve, so any

dose, if not the smallest possible, will produce an aggravation

161. During chronic treatment, there may also be an aggravation, but

not as immediate [6th ed. in chronic diseases where the smallest dose

is dynamized between doses (LM) aggravations appear at the end when

the cure is almost quite finished ]

162. Since we don't know ALL medicines, we often have to give the one

which is closest.

163. If we do, we can't expect a complete cure. We might see new

symptoms which are not part of the disease, but of the medicine.

164. A small number of symptoms is no obstacle to cure IF the

symptoms are peculiarly distinctive (characteristic)

165. If you prescribe on non-characteristic symptoms, and can find no

remedy more appropriate, the physician cannot " promise himself any

immediately favourable result. "

166. These cases are rare, since we know more and more remedies. When

they do happen, the selection of a subsequent, more accurate remedy

is needed

167. So in acute diseases, if the wrong remedy is given, and you see

new symptoms in the case, give the correct (new) remedy now seen.

168. Give the best remedy, re-study the case, give the best remedy.

[zig-zag] (because we don't know all the remedies)

169. If two remedies are close, give the closest one. Do not give the

other without re-examining the case-- because the case may change and

there might be a more appropriate selection. [6th ed. never give two

remedies together ]

170. When re-examining a case, if the next best remedy is clearly

indicated, give it.

171. In non-venereal diseases (psora) we often need several remedies

to cure-- each chosen [after the completion of the action of the

previous remedy] and selected on the symptoms remaining.

 

172-184: one sided cases

 

172. A similar difficulty occurs when there are too few symptoms.

These cases deserve our careful attention

173. There are certain chronic diseases that have few symptoms. These

are " one sided " cases.

174. The complaint may be internal or external (local maladies)

175. In the first kind it might just be the lack of discernment on

the part of the practitioner

176. Still, there might be just one or two symptoms after a well

taken case

177. In these VERY RARE cases, we should give the remedy that is

homoeopathically indicated

178. Sometimes, this will cure the case-- especially if the symptoms

are characteristic

179. More frequently, the medicine will cover the case only partially

180. This leads to a new array of symptoms, some of the disease

itself, which have never before been noticed

181. These new symptoms, while they might owe their origin to the

remedy, are the symptoms of the disease-- and we should direct

further treatments accordingly.

182. The imperfect selection of the remedy, in these cases, opens the

case to the discovery of the more accurate remedy.

183. When the first dose ceases action, the second remedy can be

selected.

184. Keep taking the case after each new remedy until recovery is

complete.

 

185-203: local diseases

 

185. Local maladies appear on external parts of the body. That they

stand alone is absurd.

186. Problems which are " local " and have been produced from without

have great effect on the whole living organism. When mechanical aid

is needed, then surgery is required (setting bones, bringing skin

together, extracting foreign objects, etc.) but the whole living

organism requires dynamic aid to accomplish the work of healing.

187. But " local " manifestations that are not produced by external

injury have their source within the body. To see them and treat them

as external is as absurd as it is pernicious.

188. It is absurd to think that living organisms know nothing of

these external problems.

189. All external maladies (except injuries) come about as a result

of an internal diseased state.

190. All treatments, therefore, must be directed against the whole.

191. This is confirmed through experience.

192. All changes, not just the local affliction, must be taken into

account when determining the remedy.

193. When the dose is taken, the general morbid state of the body is

cured, and with it, the local affliction-- which was an inseparable

part of the whole disease.

194. In local diseases it is of no use to apply remedies locally for

the topical affliction, even if it is the same remedy that is used

internally. If the vital force was not competent to restore full

health, then the acute disease was a manifestation of latent psora

which has now burst forth.

195. To cure such cases (which are not rare), give the anti-psoric

remedy after the acute stage has subsided. This is all that is

required in non-venereal cases.

196. It might seem that cure would be hastened by the application of

the remedy locally as well as internally.

197. This should not be done. In diseases where there is a local

affliction, the application of the remedy to the surface may

annihilate the local symptoms before the internal disease, and this

may seem to be a cure but isn't.

198. The use of topical applications alone is inadmissible. If you

only remove the local symptoms, it is often hard to see the more

obscure inner symptoms (which may be slightly characteristic and

difficult to see)

199. If the external symptoms have been removed (by surgery, etc.)

the remaining internal symptoms might be too vague to discover the

remedy because the external symptoms can no longer be seen.

200. If it hadn't been removed, the remedy of the whole disease would

have been found and would have resulted in a perfect cure.

201. The vital force, when expressing a chronic disease keeps the

disease on the surface, and therefore not threaten life itself. But

since the external manifestation is a part of the general disease, as

the disease gets worse the external manifestation gets worse-- so it

can still be a substitute.

202. If the external disease is now destroyed, nature will make up

the loss by increasing the internal disease. This is incorrectly

referred to as being " driven back into the system. "

203. Removing the external without treating the internal is a

criminal procedure.

 

204-209: Introduction to the treatment of chronic disease

 

204. If we exclude all chronic diseases that are caused by unhealthy

living (Para. 77) and all medicinal diseases (Para. 74), most of the

remainder of chronic diseases, WITHOUT EXCEPTION, are caused by the

three miasms, sycosis, syphilis, and a greater proportion, psora.

205. The homoeopath will never treat the primary symptoms, but only

cures the underlying miasm. Refer to Chronic Diseases.

206. When taking the chronic case, make a careful investigation if

the patient ever had venereal disease. Two miasms might be present,

but, frequently, psora is the sole fundamental cause of all chronic

disease.

207. Find out what kind of allopathic treatment had been had, to

understand how the disease has changed

208. The patients age, mode of living and diet, occupation, domestic

position, social relation, etc. must be taken into consideration, as

well as the state of the mind and the disposition.

209. Trace the picture of the disease, and get the patient to tell

the most striking and peculiar symptoms.

 

210-230: mental diseases

 

210. All one-sided diseases are psoric. Mental diseases are not a

separate class, since in all diseases the mind is altered

211. The disposition of the patient often determines the selection of

the remedy-- because they are often characteristic symptoms

which " can least of all remain concealed from the accurately

observing physician. "

212. The Creator of healing forces also thinks highly of this as all

medicines (which he created) affect the mind

213. We can't cure diseases if we do not observe the disposition and

the state of mind.

214. Mental diseases are to be cured the same was as all other

diseases

215. All mental diseases are physical ones, where the physical

symptoms are so slight as to make the disease seem to be one-sided

216. Many physical ailments of an acute character, transform into

insanity whereupon the physical symptoms cease.

217. In such cases we must look to the whole phenomenon-- the

physical and mental

218. The symptoms include previous physical symptoms-- which may be

learned from friends or relations

219. Those symptoms will be found to be still present, though obscured

220. The complete picture of the disease can then be prescribed upon--

usually an anti-psoric remedy

221. When insanity comes on acutely after a fright, etc., it should

not be treated with anti-psorics (although it arises from an inner

psoric state bursting forth), but with the other class of proved

remedies (Aconite, Belladonna, Stramonium, etc.) until the patient

returns to his latent state.

222. But such patients are not cured. They should be " freed

completely " by anti-psoric treatment.

223. If this is not done, the patient will have recurring attacks,

each brought on by a slighter cause.

224. If it is not certain that the mental disease arose from physical

illness rather than from " faults in education, bad practices, corrupt

morals, superstition or ignorance " , see if it can be improved

by " friendly exhortations, consolatory arguments, serious

representations, and sensible advice. " Real disease will be speedily

aggravated by such a course.

225. There are some emotional illnesses that will, if left alone,

destroy the physical health.

226. These may be treated, in an early stage, by " displays of

confidence, friendly exhortations, sensible advice, and often by well-

disguised deception. "

227. But the underlying cause is a psoric miasm (which is not fully

developed) and must be treated.

228. With mental diseases that come from physical maladies, we must

also treat the patient well and " not reproach him for his acts " or

use punishment or torture. The only reason coercion is justified is

the giving of the remedy-- but it could be given in a drink without

the patient's knowledge.

229. The physician and the keeper must always pretend to believe them

to be possessed of reason

230. If anti-psorics are used than the case can be cured [confidently

assert]

 

231-244: intermittent diseases

 

231. Intermittent diseases are those that recur at certain periods

and states which alternate at intervals

232. Alternating diseases are numerous and belong to the class of

chronic disease. They are, generally, a manifestation of chronic

psora. Read Chronic Diseases.

233. In the typical intermittent disease, the same state returns at

fixed periods

234. The non-febrile intermittent diseases are, mostly, purely psoric

and seldom complicated with syphilis, but sometimes they need a small

dose of Cinchona to completely extinguish them.

235. In intermittent fevers, when the symptoms alternate, the remedy

should produce similar alterations.

236. The best time to give the medicine is soon after the paroxysm

237. But if the state of no fever is short, give the remedy when

perspiration begins to abate

238. The remedy can be repeated if the symptoms return and have the

same picture. If the fever is brought on by marshy districts, then

permanent restoration can only be had by getting away from the

causative factors.

239. All fevers may be cured with homoeopathic remedies

240. If cure is not possible, it must always be because of the psoric

miasm, which must be treated

241. Epidemics of intermittent fevers are of the nature of chronic

diseases. Each epidemic is of a uniform character which will reveal

the common totality-- which will lead to the (specific) remedy for

all cases.

242. If the person is very weakened, then an anti-psoric remedy would

be needed, generally a minute and rarely repeated dose of Sulphur or

Hepar sulphuricum in a high potency

243. If a single person is attacked, find the totality and give the

remedy. If cure is not complete, give an anti-psoric.

244. Persons who can't be cured by a few doses of cinchona, have

psora at the root of the malady, which needs to be treated.

 

245-263: how to use the remedies

 

245. We will now talk about how to use remedies and the diet and

regimen during their use

 

Paragraphs. 246-248 are totally re-written in the 6th edition

 

246. The best selected remedies should be repeated at suitable

intervals

246. Don't repeat as long as there is amelioration (in acute

disease). In chronic disease this may also be the case at times. But

this is rare. If the medicine is well selected, highly potentized,

dissolved in water, and given properly (that the degree of each dose

is changed), a cure will result. [footnote describing the new method]

 

247. Smallest doses may be repeated

247. The remedy must be changed in potency each time it is given

 

248. The dose may be repeated until action is exhausted

248. How to do it. The instructions for changing the potency each

time. Aggravation comes at the end. Even a one dram vial of alcohol

with one globule that is used for olfaction must be succussed 8-10

times before each dose.

 

249. If new and troublesome symptoms are produced by the remedy, it

is not homoeopathic and should be neutralised and/or the next remedy

be given immediately to take the place f the improperly selected one.

250. When you see the wrong remedy is given, find and give the right

one!

251. Some medicines have alternating actions. If you give one

(Ignatia, Bryonia, Rhus tox) and no improvement follows, give it again

252. If nothing happens after the most suitable remedy is given,

there is an obstacle to cure in their mode of life

253. In acute diseases the first positive changes are usually mental--

a freedom of mind, higher spirits. The opposite is seen in an

aggravation.

254. The observing physician will note these changes while the

patient might not

255. If you go through the case point by point and notice no changes

in symptoms, but the patient's disposition is better, the medicine

might just need more time to act, there might be an obstacle to cure,

or the dose was not small enough

256. If the patient has new symptoms-- signs that the medicine was

not correct-- but says he feels good, we must not believe it.

257. Do not make any remedies " your favourites " because you will

neglect many others, perhaps better, remedies.

258. If you avoid some remedies because you have bad results with

them (through your own fault), remember that ALL remedies are useable

when the similarity to the totality is matched and " no paltry

prejudices should interfere with this serious choice. "

259. Because the doses are so small, anything which has medicinal

action must be removed from the diet and regimen.

260. In chronic diseases this is even more important (followed by a

list of things to avoid)

261. The best thing in chronic diseases is to remove the obstacles to

recovery, and encourage recreation, exercise, and good food

262. In acute diseases, the patient should be allowed to eat what he

wants

263. The desires are to be granted within moderate bounds, the room

and temperature should be controlled as the patient wishes

 

264-271: the medicines

 

264. The physician should have pure medicines to use

265. The physician should see that the patient takes the right

medicine (6th ed. prepared by the physician himself)

266. Animal and vegetable remedies are most perfect in their raw state

267. Instructions for making extracts

268. With materials that are not supplied fresh, you must be

convinced that they are genuine

269. Description of potentization [conceptual]

270. Description of making centesimal potencies (6th ed: LM potencies)

271. Description of trituration (6th ed: the physician should do it

himself)

 

272-279: administering the remedies

 

272. In no case is it needed to give more than one remedy at a time

(6th ed: one globule is OK, but dissolved in water and stirred well

will touch many more nerves)

273. How can one not understand that one remedy at a time is the only

way (6th ed: It is absolutely not allowed in homoeopathy to give the

patient at one time two different remedies)

274. Single remedies are proven and have totalities. If you give two

you can't evaluate the results

275. You must control the size of the dose as well

276. Even if the remedy is homoeopathic it can do harm in too large a

dose and more harm the higher the potency. " Too large doses too

frequently repeated bring trouble. "

277. If the dose is sufficiently small it will have salutary and

gentle remedial effect.

278. How small must it be? Theories and speculation are not the

answer. Careful observation and accurate experience alone determines

this.

279. Experience shows that a selected and highly potentized dose of

the homoeopathic remedy can never be too small to overpower a natural

disease

 

280-to end: more on dosages and allied practices (mesmerism, baths,

etc.)

 

PARAGRAPHS 280 -294 HAVE BEEN TOTALLY RE-WRITTEN FOR THE 6th EDITION.

 

280. Materialistic people don't understand this.

280: The dose should be gradually ascending as long as there is

general improvement, followed by a mild return of old complaints.

This indicates an approaching cure.

 

281: Everyone, especially in a diseased state, is capable of being

influenced by the simillimum. Mere theoretical scepticism is

ridiculous.

281. To be convinced, just give the patient placebo and watch him get

better at this point

 

282. The dose can produce aggravation in the parts already affected.

The artificial diseases substitutes for the natural disease.

282: if the dose is too large, the first dose produces an

aggravation, especially in chronic diseases

 

283. The true healing artist prescribes his well selected remedy only

in a minute dose. If it is the wrong medicine, the smallness of the

dose will prevent injury

283: The true healing artist prescribes his well selected remedy only

in a minute dose to avoid the homoeopathic aggravation. If it is the

wrong medicine, the smallness of the dose will prevent injury

 

284: The action of the dose does not diminish with quantity. Eight

drops are not four times as strong as two drops

284: The nose and respiratory organs are receptive to the action of

the medicines. The whole skin is also adapted to the action of

medicinal solutions, especially when used with an internal remedy

 

285: The diminution of the dose is essential, as is the diminishing

of the volume, i.e., a single globule

285: In very old diseases, the remedy may be rubbed on the back,

arms, and extremities, while being given internally

 

286: The greater the quantity of fluid the dose is dissolved in, the

better, since it comes into contact with more surface area

286: The dynamic forces of mineral magnets, electricity, and

galvanism act upon the life principle. We don't know enough about

them to use them homoeopathically. The positive, pure actions upon

the body have not been tested.

 

287: By diluting it further the effect is changed. Each person must

judge for himself how to diminish the dose to make them suitable for

sensitive patients

287: The powers of the magnet for healing purposes is outlined in the

Materia Medica Pura.

 

288. The actions of the medicines in liquid form are certainly spirit-

like in power. (footnote describing the effectiveness of olfaction)

288: Mesmerism and animal magnetism are also priceless gifts

 

289: Every part of the body that possess the sense of touch is

capable of receiving the medicines.

289: Discussion of positive and negative mesmerism

 

290: The interior of the nose, rectum, and genitals are also

sensitive to the medicinal agents

290: Advantages of massage in the cases of a chronic invalid

 

291: Even organs which have lost their sense (i.e., sense of smell)

will be susceptible to the remedy

291: Discussion of hydrotherapy.

 

292: Even the external parts of the body would be susceptible,

especially if the remedy is in liquid form

 

293: A reference to Mesmer and the powers of " animal magnetism " and

the curative effects of hypnosis

 

294: Continued discussion of " positive " and " negative " mesmerism, in

light of the vital force

 

Julian Winston 2001